Individual provider Active NPI

Kristen E Weldie, ATC

  • Athletic Trainer
  • Fort Washington, PA
National Provider Identifier
1841402062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT003386 Issued in PA
Practice address
414 Commerce Dr
Fort Washington, PA 19034-2618
Phone
(215) 641-0700
Fax
(215) 641-0637
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT003386 PA Primary

Addresses

Primary practice location

414 Commerce Dr
Fort Washington, PA 19034-2618

Mailing address

2126 Alexander Dr
Norristown, PA 19403-2602
Phone (610) 630-8414

Other identifiers 2

IdentifierTypeStateIssuer
991391OtherPANATA CERTIFICATION
RT003386OtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT003386PAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841402062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 ALEXANDER DR",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194032602",
            "telephone_number": "610-630-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 COMMERCE DR",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342618",
            "telephone_number": "215-641-0700",
            "fax_number": "215-641-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDIE",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA  CERTIFICATION",
            "identifier": "991391",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RT003386",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.